requiring suture in addition to the use of energy means in many cases less pain.
It also cuts out the cost of suture from a case. "Then I can increase the value to
everyone involved, the physician, patient and facility. I like looking at new tech-
nology if it's quicker, if it doesn't heat up as much, if it's easier to use."
Not everyone's an early adopter — some users need more evidence of value
than others — but physicians are willing to change. "The way we do surgery
now is very different from the way we did it 25 years ago, and it will be differ-
ent 25 years from now," says Dr. Cohen, recalling a conference he attended in
1990, at which he saw a senior surgeon storm out of a presentation, outraged
at the suggestion that laparoscopy was a suitable option for gall bladder
removal. "Now that's standard practice."
OSM
E-mail
dbernard@outpatientsurgery.net
.
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